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HomeMy WebLinkAboutSWG2022-00215 - SWG Application / Design - 4/14/2022 415 N 6TH STREET,SHELTON,WA 98584 MASON COUNTY ,EXT 400 COMMUNITY SERVICES SBELFAIIR:360-275-44677,EXT 400 ELMA:360-482-5269,EXT 400 ,� Building,Planning,Environmental llealth,Community Health FAX:360-427-7787 On-Site Sewage System Permit: SWG2022-00215 APPLICANT LOUDON BOBBI L&JERRY M Phone: 360.731.6074 Address: 7754 SE MONTE BELLA PL PORT ORCHARD, WA 98366 OWNER LOUDON BOBBI L&JERRY M Phone: 360.731.6074 Address: 7754 SE MONTE BELLA PL PORT ORCHARD, WA 98366 SEPTIC DESIGNER ROD LEFT-Acme Design Phone: 360-509-2000 Address: PO Box 2954 SILVERDALE, WA 98383 Site Address: 191 NE Raintree Ln Primary Parcel Number: 223315200046 Permit Description: New SFR-3BR Pressure w/class b waiver Permit Submitted Date: 04/14/2022 Permit Issued Date: 07/12/2022 Issued By: Jeff Wilmoth Current Permit Fees Paid: $500.00 (additional fees may be required upon installation of system). Permit Expiration Date: 05/06/2025 (based on date of inspection) Permit Conditions: 1 Proposed development subject to zoning requirements and approval by the planning department staff per Mason County Title 17. 2 Permit must be installed by a Mason County Certified Installer unless prior written authorization from Mason County is obtained. 3 Drain field installation not to exceed designed upslope and downslope depth specified on design form. 4 Installer is responsible for obtaining Mason County installation approval prior to backfill of system components. 5 Installer is responsible for obtaining Septic Designer/Engineer installation approval prior to backfill of system components. 6 Mason County Asbuilt Form, Record Drawing, and Installation fee must be submitted for final installation approval. THIS PERMIT MUST BE ONSITE DURING INSTALLATION OF OSS. PROPERTY OWNERS ARE RESPONSIBLE FOR DETERMINING AND MARKING ALL PROPERTY LINE AND EASEMENT LOCATIONS. THIS PERMIT MAY BE REVOKED IF THE SITE CONDITIONS HAVE CHANGED SINCE THE SITE WAS INSPECTED AND DESIGN APPROVED. FINAL INSTALLATION APPROVAL IS REQUIRED PRIOR TO TEMPORARY OR FINAL OCCUPANCY OF ANY RELATED STRUCTURES. For Final Inspection visit: www.co.mason.wa.us/health/environmental/onsite/oss-inspection-request.php or call: 360-427-9670, extension 400. 4 3 qA 00 OFFICIAL USE ONLY �.1� �/ DATE RECEIVED: \ c �4 � ,.*. 1 O� _ ���.:,, MASON COTUI�NCTY T � � n se ///// -' ' ,�I COMMUNITY SERVICES AMOUNT RECEIVE�/���)�� RECENED BY: ��/�/_ r•_" '"CO !/ i�il�i W— ��J/� - Public Health(Community Health/Environmental Health) � V ,,,,,„ ,,'y 360-427-9670,ext.900 or 36o-z754467,ext.400 SWG ^ //�� /�'�( �\ / / 415 N.6th Street-Shelton,WA 98584 `W G Q/ 211 _ I S1 0 xl JY V vl/./yl/V�� Z 6 ON-SITE SEWAGE SYSTEM APPLICATION m n APPLICANT PHONE Ill I- JERRY & BOBBI LOUDON z MAILING ADDRESS-STREET,CITY,STATE,ZIP CODE ?,..a 7745 SE MONTE BELLA PL PORT ORCHARD WA 98367 m 20 SITE ADDRESS-STREET,CITY,ZIP CODE '- 191 RAINTREE LN TAHUYA WA 98588 IN NAME OF DESIGNER PHONE ROD LEFT 360-698-8488 IN NAME OF INSTALLER PHONE <PERMIT TYPE(select one) DRINKING WATER SOURCE 5 Iv" Ayl RESIDENTIAL OSS L i.;COMMUNITY OSS P t,COMMERCIAL OSS Ei PRIVATE INDIVIDUAL WELL E PRIVATE TWO-PARTY WELL 0 R TYPE OF WORK(select one) PA. PUBLIC WATER SYSTEM j_I- dNEW CONSTRUCTION/UPGRADES E REPAIR/REPLACEMENT OTHER DETAILS(select all that apply) 0 TABLE IX REPAIR kri SUBMITTALS[�MI7 El SURFACING SEWAGE 0 EXISTING FAILURE 0 SHORELINE COtM)DESIGN FORM(REQUIRED) [, SEPTIC DESIGN(REQUIRED) BEDROOMS LOT SIZE r- f WAIVER(S)(IF APPLICABLE) 2 0.68 ACRES 0 i I DIRECTIONS TO SITE AND SITE CONDITIONS:(ex.locked gate) SEE MAP 10 0 Io Iz SITE MUST BE FLAGGED FROM MAIN ROAD AND TEST HOLES MUST BE FLAGGED WITH TEST HOLE NUMBERS. I tN OFFICIAL USE ONLY BELOW THIS LINE UPGRADE/FAILURE SOURCE(for reporting purposes) ❑VOLUNTARY 0 MAINTENANCE/PUMPING 0 BUILDING PERMIT 0 HOME SALE El COMPLAINT 0 OTHER: INSPECTOR SOIL LOGS COMMENTS/CONDITIONS ��I LS RECORD DRAWING AND INSTALLATION REPORT SOIL CODES: V=VERY G=GRAVELLY S=SAND L=LOAM Si=SILT C=CLAY E=EXTREMELY R=ROOTS REQUIRED FOR FINAL APPROVAL. IN CTOR,S�IGrNATURE DATE APPLICATION EXPIRATION DATE APPLICATION APPROVED/ISSUED BY DATE T S F MAY BE SCANNED AND AVAILABLE FOR PUBLIC VIEW ON THE MASON COUNTY WEBSITE REVISED 1717/2015 DESIGN FORM—PAGE ONE Assessor's Parcel Number: 2 2 3 3 1 — 5 2 — 0 0 0 4 6 A design will be reviewed when 3 copies of each of the following are submitted: Completed design form that has been signed and dated. Scaled layout sketch,including all applicable items on checklist '1 Scaled plot plan,including all applicable items on checklist. Cross-section sketch,including all applicable items on checklist. This form may be scanned and available for public view on the Mason County Web site.Maximum paper size: 11"X 17" s .,, PARCEL:IDENTIFICATION Permit Number: SWG 2o� ._ `496 L15 Designer's Name: ROD LEFT Applicant's Name: JERKY&BOBBI LOUDON Designer's Phone Number: 360 698 8488 Mailing Address: 7745 SE MONTE BELLA PL Designer's Address: PO BOX 2954 PORT ORCHARE WA 98366 SILVERDALE WA 98383 City State Zip City State Zip ,DESIGN PARAMETERS . i. Treatment Device ❑Glendon Biofilter 0 Sand Filter ❑Mound 0 Sand Lined Drainfield 0 Recirculating Filter,Type: 0 Aerobic Unit Make/Model 0 Disinfection Unit Make/Model Other: Drainfield Type 0 Gravity E 'Pressure lifTrench 0 Bed 0 Sub Surface Drip Septic Tank/Drainfield Specifications Laterals Number of Bedrooms 2 Schedule/Class 40 Daily Flow: Operating Capacity 240 gpd Length ,4 5—l 0 ft Daily Flow:Design Flow 240 gpd Diameter 1 in Septic Tank Capacity 1,250 gal Number 4 Receiving Soil Type(1-6) 4 Separation 5 ft Receiving Soil Appl.Rate 0.6 gpd/ft2 Orifices Required Primary Area 400 ft2 Total Number of Orifices 33 Designed Primary Area 400 ft2 Diameter 1/8 in Designed Reserve Area 400 ft2 Spacing 48 in Trench/Bed Width 3 ft Manifold Trench/Bed Length 135 ft Schedule/Class 40 Elevation Measurements Length 35 ft Original Drainfield Area Slope 2-4 % Diameter 1 in New Slope,If Altered 2-4 % Preferred manifold configuration used? 0 Yes ❑No Depth of Excavation Up-slope I k in Transport Pipe from Original Grade Down-slope Ili in Schedule/Class 40 Designed Vertical Separation 12 -- in Length Li4 ft Gravelless Chambers Required? ❑Yes ❑No lif Optional Diameter 2 in Pump Required? li6 Yes 0 No Dosing and Pump Chamber Pump/Siphon Specifications Number of doses/day la Difference in Elevation Between Pump Shutoff and Uppermost Dose quantity 1-10 gal Orifice 8 ft Chamber Capacity 1,000 gal Uppermost Orifice WI Higher ❑Lower than Pump Shutoff Pump controls:Please check those required. Capacity @ Total Pressure Head I q•1 gpm [Timer l 'P1anse Meter 'Event Counter .)1 LTH Calculated Total Pressure Head I' .lo ft If Timer: Pump on an1j4 MA :CP0uUmNPTY° ff �{ HRSComments PPROVE ..ii JUL12 2022 i ,C ENVIRONMENTAL HEA Jelly DESIGN FORM—PAGE TWO Assessor's Parcel Number: 2 2 3 3 1 -- 5 2 -- 0 0 0 4 6 Permit Number: SWG DESIGN CHECKLISTS Scaled Plot Plan Scaled Layout Sketch Cross-Section Sketch O Test hole locations 121 Drainfield orientation and layout Reference depth from original grade: O Soil logs It Trench/bed dimensions and lii Septic tank 0 Property lines critical distances within layout G21 Drainfield cover ❑ Existing and proposed wells 0 D-Box/Valve box locations Reference depth from original grade within 100 ft of property RI Septic tank/pump chamber and restrictive strata: ❑ Measurements to cuts,banks,and locations gli Laterals,trench/bed,top and surface water and critical areas gi Observation port location bottom ❑ Location and orientation of 121 Clean-out location 0 Curtain drain collector curtain drain and all absorption lij Manifold placement 0 Sand augmentation components 0 Orifice placement Other cross-section detail: 0 Location and dimension of G� Observation ports/clean-outs Lateral placement with distance p primary system and reserve area to edge of bed Buildings Other Information Iii Audible/visual alarm referenced Yes No 01 Direction of slope indicator Fil Scale of drawing shown on scale ❑ d Design staked out O Waterlines bar ❑ g Recorded Notices attached O Roads,easements,driveways, ii! 0 Waiver(s)attached parking g 0 Pump curve attached gi North arrow and scale drawing ❑ lg Evaluation of failure shown on scale bar Non-residential justification ❑ 0 Waste strength O ❑Flow DESIGN APPROVAL The undersigned designer must be notified by ' taller a ime of installation Ei Yes 0 No •ZZ•Zo2z Sign e of Designer Date The undersigned has reviewed this design on behalf of Mason County Public Health and determined it to be in compliance with state and local on-s: regulations: En ' o 8 8,7 al Health Specialist Date CAUTION: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped"Approved"by Mason County Public Health. ✓ The Onsite Sewage Permit has not expired,the Permit Expiration Date is: 5- 2 5 / Drainfield site conditions have not been altered to adversely affect conditions of design approval. Please Note: The system must be installed by a certified installer, unless prior authorization is obtained from Mason County Public Health. An Installation Fee is required. p p R Q ivE This form may be scanned and available for public view on the Maso C my 1,�(siti s `' N1AS- ,,pate: '15 l O �: All r RONM 4 Jew AL HE-, Pump Selecfion for a Pressurized System -Single Family Residence Project LOU DON/22331-52-00046 Parameters Disdlag •eAsserdySze 200 Litt, 160 TraspertLagtli 295 feet TraspatPipeClass 40 TraspatLineSze 200 ird DistbuirgvalvdNorei Naie 140 Ma c Ele cn Lit 10 fed Maifdd Leigh 33 tad MaifbdPipeClass 40 Ma'ifbdPipeSize 1E0 id us Nurra cfLdealsperCell 4 120 . Lateral Legtr 40 fed LJare PipeClass 40 La erd Pipe Size 1.00 it o is Orifice Size 1B I LIts m OrifceSpaing 4 feet cu Lc. 100 ResidalHeed 5 fed S FbNMetr Ncne nits ❑ F 'Addm Fr ikA r I LOSSES 0 fed -p . al m Calculations x 80 MrirnmFbniRabperDifice 0.43 gm cc N tuber d`Orifcz perZae 44 j, Tde FbrvRabrerZae 19.1 gm ❑ i PF5005 i Nun bca0`LatrdsperZae 4 o 60 �, %FIwoDAferenfe 1stLastOrifice 1.9 % I-- Traspat\batty 1.8 fps . Frictional Head Losses 40 LcssIt a. Dischage 0.7 bet �i ., I rxsinTraspat 1.9 fed 1rxstro 41VaLe 0.0 f \, I rrs inMaifdd 1 et.7 f ',,,,, I rssintaker-As 02 feat 20 II Irrstrrol iFbnrnt#7 0.0 feet 'Adrian'Fl ic•fiu i LOSSES 0.0 fed Pipe Volumes 0 VddaspatLire 514 Tr0 10 20 30 40 50 60 70 80 Vddlvlaribd 1.5 gals Net Discharge(gpm) VdcfL.lardsparZae 72 gals Tctivdure 60.1 gals Minimum Pump Requirements PumpData Legend Desig1FbNRale 19.1 gm PF5C05 H ighHeadEllue tPurp SystanGuve — RdDynaricHeai 19.6 fed 50 GPM,12HP 115123 /10 60H z,2:0 230V30 6CH z PurpCuve PurpOpirrel Rargr OperArgPdrt 0 A DyPart 0 PCa uz2ARa °memo Systems' .15,IZ Incorporated JUL 1220 s�� MASON COUNTY EN VI Z2 rr � �� RONAAr• JET IN HEALTH oC _rn rn( -ym s I K CO DC vC D5 nz ,irn c-r D� Z° ov -n r 260.70 p-4 Did _ T - .. ...1 d60 --) lYiR1€4--� 0 z Oo C 1 i D Ho l , 0! rn Z'ii, Z I.rn W m ' m� i o O� f� 4'.'t immg Z cmm m0 1//// 1 GI �q _ 01 ,. ..1.. . 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